Fees How much do you charge per session? How long are your sessions? Do you have a sliding fee scale? (Fees geared to income) (519) Locations Where are you located? Are you on any bus routes? (519) Availability What days and hours are you available? Do you have a waiting list? How long can I expect to work with you? How often? (519) Resources and Services for the Prevention and Treatment of Eating Disorders TIPS FOR SEEKING AND CHOOSING SUPPORT There are several types of support available, including: individual counselling, psycho educational groups, professional support groups, self-help groups, residential treatment programs, and others. It often takes some exploration, information gathering, and trial and error before a person finds the type of support he or she needs. If you decide to seek professional support, remember that you are purchasing a service, and therefore you can look around and ask questions when trying to decide what is right for you. It is important for you to know that individuals performing counselling services in our community have a wide variety of training and experience. There are no laws governing who can call himself/herself a “counselor” or “therapist”. You have a right to know what a counselor’s training and experience are. You may want to prepare a list of questions to ask professionals. We have provided some ideas for basic questions, which you may want to ask either over the phone or during your first interview appointment. Basic Questions [Type text] Training & Experience What education, training and experience do you have with regard to helping people with eating disorders (for example, degree in counselling, education, medicine, psychiatry, psychology, nursing, nutrition, social work)? Also, what professional college or accredited body do you belong to (e.g. Ontario College of Social Workers, College of Dietitians)? These oversee ethics and complaints, etc. (519) Some titles used after names are as follows: RD – Registered Dietitian MSW – Masters of Social Work RSW – Registered Social Worker RN – Registered Nurse MD – Medical Doctor MHSc – Masters of Health Science RMFT – Registered Marriage & Family Therapist PhD - Psychologist (519) Type of Approach What type of approach do you use? (for example: educational, behavioral, feminist, nutritional, drug treatment, 12 step) Will you explain your approach to me? What are your views about confidentiality? (family, professional support) If we work together, how soon might I see any changes? What kinds of changes? What can I hope to achieve? Follow-up What arrangements will be available to me after I complete your treatment program? (for example: follow-up by phone, ongoing support groups, and individual sessions as necessary). (519) If Things Do Not Feel Good If your work with the professional does not feel supportive, empowering, safe, and helpful, tell the professional which of your needs are not being met. If the professional is unwilling or unable to meet your needs, you might need to find another one. Trust your instincts. If something does not feel right to you, check out your feelings with someone you trust. It is important not to stay with a professional who is not helping you or is doing you harm. Some examples of unacceptable counselling behaviours include: • spending too much of your session time on the professional’s feelings, personal life, problems, etc. • giving confusing, inconsistent information. Page 2 of 10 [Type text] • • • • • lack of empathy. avoiding or refusing to answer questions re: credentials, accountability, etc. communicating in ways that make you feel degraded, intimidated or pressured. making inappropriate erotic comments, or facial expressions. engaging in any sexual contact in or out of the office, with or without your consent. (includes uninvited, inappropriate touching, kissing, etc.) Counsellors and Therapists* Note- Fees listed may not be current Cambridge Name Maxwell, Sherry MTS, OACCPP Guelph Name Durfy, Samantha Social Worker Graham, Sue Registered Social Worker MacNeil, Candy Psychotherapist McGratten, Karen Psychotherapist Mulder, Dr. Eric Psychiatrist, MD Ross, Dr. Stuart Clinical Psychologist Address 188 Main St. Cambridge, ON N1R 1W8 www.sherrymaxwell.co m Phone/Fax 519-621-8858 Type of Service Individual, couple and family therapy for issues including eating disorders, communication, stress/relational issues, sexual abuse, sexual dysfunction. Ages 10+ Referral Process Self Fee Fee for service Sliding scale available Type of Service Individuals, couple, and family counselling. Specializing in eating disorders, adolescents, self-harm, depression, and anxiety Individuals, couple and family counselling. Specializing in eating disorders, addictions, depression, anxiety and abusive relationships Individual, couples, and family therapy for males, females, adolescents, adults, specializing in eating disorders, body image and interpersonal relationships Individual, family and adolescent therapy for those struggling with an eating disorder Referral Process Self Fee Fee for service Self $75.00 per hour Sliding scale available Self $70.00 per hour Sliding scale available Self $80.00 per hour 519-836-5992 Adult General Psychiatry Self OHIP coverage 519-993-0925 Assessment, treatment, consultation for adults Self To be negotiated by type of service Address 85 Norfolk Street Suite 207 N1H 4J4 samanthadurfy@gmail.com Phone/Fax 519-836-1277 ext. 300 Wellington Building 147 Wyndham Street North Suite 403, Guelph, ON N1H 4E9 suegraham@rogers.com 147 Wyndham Street North Suite 403, Guelph, ON NiH 4E9 519-830-7767 302-55 Cork St. Guelph, ON, N1H 2W7 karen@kmcgratten.com www.kmcgratten.com Suite 205- 49 Emma St. Guelph, ON, N1E 6X1 Ignasius Jesuit Centre Orchard Park Centre 519-341-6079 5420 Hwy 6 N,Guelph N1H 6J2 rosstua@gmail.com 519-760-3031 Schwartzentruber, Sue Recreation Therapist Kitchener-Waterloo Name Casteels, Dr. Theresa 49 Emma Street Guelph sue.s@rogers.com 519-569-1498 Address 445 Beechwood Pl., Suite 203 Waterloo, ON, N2T 1Z2 Phone/Fax 519-885-3554 ext. 2 Notar, Margaret 16 John Street West Waterloo, ON, N2L 1A7 mknotar@gmail.com 519-497-3476 Peats, Monique 55 Erb St., East, Suite 309 Waterloo, ON, N2J 4K8 519-746-0490 Address 5 Pinetree Ct. Dundas ON L9H 6V4 laliberte_michele/commpsych @email.stjosham.on.ca Phone/Fax 905-627-2737 Georgetown Child, Adolescent, and Adult Counselling Services 20 Armstrong Ave, Unit 3 Halton Hills, ON, L7G 4R9 angela.s@itsmywellbeing.com www.yourkidswellbeing.com 289-839-2204 Psychologist, PhD MTS-PC, MSW Other Name Laliberte, Dr. Michele Psychologist Szameit, Angela Psychotherapist, M.A. Fax 905 627-9307 Individual treatment for those struggling with an eating disorder, under or over exercise issues, and yo-yo dieting. Helping clients develop a balanced leisure lifestyle, creating a healthy exercise plan and establishing appropriate activity levels. Self Type of Service Individual therapy for eating disorders, anxiety, depression, sexual abuse, self-esteem, and relationship issues for ages 16 and up. Individual, family, and couple counselling for adolescents anddults; psychotherapy, consultation and workshops Relational, family and individual therapy dealing with issues such as self-esteem, eating disorders, anxiety, sexual abuse. Referral Process Self Fee $135.00 per hour covered under most insurance plans Self Hourly fee Self Fee for service or EAP coverage Type of Service Individual, couple and family therapy/counselling for males/females with eating disorders. Cognitive behavioural treatment of related disorders such as anxiety/depression. All ages individual, couple, and family counselling. Precounselling/post counselling services available to individuals awaiting eating disorder or mood disorder inpatient services. $60.00 per hour sliding scale available Not covered by OHIP Referral Process Self Fee $100.00 per hour Self, physician To be negotiated by type of service. Counselling/Treatment Programs Organization Canadian Mental Health AssociationWaterlooWellington-Dufferin Carizon Family and Community Services Conestoga College Student Services Counselling Office Interfaith Community Counselling Centre Shalom Counselling Service University of Guelph Counselling Services Student Health Services University of Guelph Contact: Lynda Davenport University of Waterloo Wilfrid Laurier University Woolwich Counselling Centre Page 4 of 10 Address 130 Weber St. W., Suite 202 Kitchener, ON, N2H 4A2 (Service also in Cambridge and Guelph) 400 Queen Street S. Kitchener, ON N2G 1W7 http://www.carizon.ca c/o Student Services 299 Doon Valley Dr. Kitchener, ON N2G 4M4 www.conestogac.on.ca 23B Church St. New Hamburg, ON N0B 2G0 9 Avondale Ave South Waterloo, ON N2L 2B5 Counselling Services Guelph, ON N1G 2W1 www.uoguelph.ca/~csrc University of Guelph J.T. Powell Building Guelph, Ontario, N1G 2W1 www.uoguelph.ca/~sthealth/ Needles Hall Rm. 2080 200 University Ave. W. Waterloo, ON N2L 3G1 75 University Ave. Waterloo, ON N2L 3C5 www.wlu.ca/~wwcouns 65 Memorial Ave. Elmira, ON N3B 2R9 Phone Type of Service Referral: HERE24SEVEN: 1844-437-3247 Assessment & consultation to identify appropriate type of treatment required. Adult program is primarily group based treatment and child and youth services are family based therapy. Referral to inpatient services provided when needed. All ages accepted. 519-749-2932 Referral Process Fee Self-Referral OHIP covered Individual, family and couple counselling. Self-Referral Sliding fee scale based on income (519) 748-5220 ext. 3360 Short-term counselling and referral. Self-Referral Free (limited to Conestoga College Full-time students) (519) 662-3092 Individual, marital, family and group counselling for all ages. Self-Referral Sliding fee scale (519) 886-9690 Individual, marital and family counselling. Counselling Services (519) 824-4120 ext. 53244 Counselling group for University of Guelph students only. Self-Referral Anyone can refer Self-Referral Sliding fee scale based on income Free to University of Guelph students $25.00 for missed appt. (519) 824-4120 ext. 54333 University of Guelph students and their families only. Physicians Registered Dietician None Individual and group therapy by masters level counsellors or psychologists. Self-Referral Services are free and are for University of Waterloo students only. Individual and group therapy for students by counsellors. Self-Referral Free to Wilfrid Laurier University students Family, individual and couple counselling for all ages. Self-Referral Counselling Services (519) 888-4567 ext. 2655 Health Services (519) 888-4096 ext. 3544 Counselling Services (519) 884-0710 ext. 2338 Health Services (519) 884-0710 ext. 3146 (519) 669-8651 Sliding Fee Scale based on income In-Patient Treatment Programs – Surrounding Areas Organization Contact Person Hospital for Sick Children, Eating Disorder Program (Intake) The Toronto General Hospital Program for Eating Disorders (Intake) Credit Valley Hospital Program for Eating Disorders Homewood Health Centre Address 555 University Ave. Toronto, ON. M5G 1X8 Phone (416) 813-7195 200 Elizabeth St. 8EN – 231, Toronto, ON M5G 2C4 (416) 340-4156 Intake Mississauga (905)813-4505 Intake 150 Delhi St. Guelph, ON, N1E 6K9 (519) 824-1010 Type of Service Referral Process Fee and Waitlists Outpatient & Inpatient Program: Children & Adolescents up to 17 years old. MD OHIP/ Currently a 4 month waitlist based on severity of patient Inpatient, Outpatient or Day Hospital Program for adults 17 and older. Currently not open to obese and binge eating patients MD OHIP/ Waitlist by severity; 3 months for outpatient and 2-3 months for inpatient programs. Inpatient, Outpatient or Day Hospital program for adults 18 and older. MD Inpatient & multidisciplinary team approach. Treatment for men and women with anorexia nervosa, bulimia nervosa & binge eating. Ages: 16 and over. Must be medically stable. MD or Therapist OHIP/Wait list 3 months for inpatient programs, shorter for day hospital program. OHIP Extended Health coverage Over a 1 year waiting time for full OHIP coverage. 3-4 mos. if semi-private or private extended health coverage. Self-Help/Support Groups Organization Family & Friends Support Group Overeaters Anonymous Address C/O: CMHA-WWD 130 Weber Street W., Suite 202, Kitchener Regular meetings at various locations and times; check website www.oa.org for dates and times Type of Service Fee 519-576-2333 Phone Group meets the 2nd and 4th Thursday of every month from 6:30 to 8pm for support and education. No fee. Kitchener-Waterloo – Eligibility: Individuals with eating disorders, such as compulsive overeating, bulimia or anorexia. Services: Fellowship, mutual support, self-help, individual support when needed through emergency telephone interventions, member’s anonymity is strictly respected. Support Centres – Surrounding Areas Danielle’s Place (Burlington, ON) Hope’s Garden (London, ON) Sheena’s Place (Toronto, ON) Page 5 of 10 www.daniellesplace.org www.hopesgarden.org www.sheenasplace.org 1-866-277-9959 (519) 434-7721 (416)927-8900 No fee. World Wide Web (WWW) Links Organization Address National Eating Disorder Information Centre (Canada) National Eating Disorders Awareness and Prevention, Inc. Bulimia Anorexia Nervosa Association Dove Self Esteem Health at Every Size Andrea’s Voice Gurze Books Mirror-Mirror Media Watch Mental Health Net, ED Something Fishy Website on Eating Disorders The Student Body: Promoting Health at Any Size www.nedic.on.ca www.nationaleatingdisorders.org www.bana.ca www.campaignforrealbeauty.com www.jonrobinson.net www.andreasvoice.org www.gurze.com www.mirror-mirror.org www.mediawatch.com www.mentalhelp.net www.something-fishy.org www.aboutkidshealth.ca/thestudentbody Page 6 of 10 Action Groups/Educational Resources Organization Address BANA Bulimia Anorexia Nervosa Association 300 Cabana Road East Windsor, ON N9G 1A3 www.bana.ca National Eating Disorder Information Centre (N.E.D.I.C.) 200 Elizabeth St. College Wing 1-211 Toronto, ON M5G 2C4 www.nedic.on.ca Eating Disorders Awareness Coalition 67 King Street East, Kitchener, ON N2G 2K4 Phone: (519) 745-4875 Waterloo Regional Community Health Department www.edacwr.com Resource Centre 99 Regina St. S. P.O. Box 633 Waterloo, ON N2J 4V3 Phone (519) 969-2112 email: info@bana.ca Type of Service Fee An association offering resources, treatment and information about eating disorders No Fee Nation-wide database of treatment practitioners and facilities, resources, and support groups. Produces N.E.D.I.C. Bulletin 5 times a year. Information and resources, provide lectures and workshops. Prevention and awareness campaigns. Bulletin $15/year for individuals $20/year for organizations email: edac@golden.net A volunteer driven charity that is passionately committed to improving the lives of people affected by eating disorders, weight preoccupation and size prejudice through delivering education and prevention programs, building a supportive community and providing referrals to treatment and resources. Annual membership fees: $15 – Active $30 – Supporting (519) 883-2256 Resources (videos, books, kits etc.) available for booking by the public. No Fee (416) 340-4156 1-866-633-4220 (toll free) (519) 745-4875 Other Eating Disorder/Body Image Coalitions Organization Body Image Coalition of Peel Body Image Network of Halton York Region Eating Disorders Community Coalition Wellington-Dufferin-Guelph Eating Disorders Coalition BodySense Page 7 of 10 Address Phone Type of Service Fee Peel Health Dept. 44 Peel Centre Drive, Brampton, On., L6T 4B5 www.bodyimagecoalition.org c/o Halton Regional Health Department, 1151 Bronte Rd., Oakville, ON., L6M 3L1 c/o York Region Health Services Health Connection Lora Stratton, Chairperson (905) 791-7800 x2705 An association offering resources, treatment and information about eating disorders (905) 825-6060 ext. 7835 An association offering information, networking, awareness, education, skill building, and social action. No Fee 1-800-361-5653 An association offering resource information, networking, advocacy, education, and support. No Fee c/o Wellington-DufferinGuelph Health Unit, 125 Delhi St., ON., N1E 4J5 Canadian Centre for Ethics in Sport 350-955 Green Valley Cr. Ottawa, ON K2C 3V4 April Gates, Chairperson (519) 824-1010 x292 (416) 426-7230 www.bodysense.ca An association offering resources, public & professional awareness of eating disorders and unhealthy body image; and, opportunities to network. BodySense is an education and outreach initiative dedicated to the promotion of positive body image in athletes. No Fee No Fee No fee. Lecturers and Public Speakers Instructor/Public Speaker Topic if Specified Fee Phone # Alfieri, Marg, RD. Body Image, Nutrition for Health, Food for the body and soul. (for school aged students) small fee sliding scale (519) 747-1848 Campbell, Madelyne, RD. Nutrition and Eating Disorders negotiable (519) 576-2333 Gilbert, Adrienne, M.A. Eating Disorders - Impact on families and research related to families and eating disorders negotiable (519) 888-4567, ext. 3015 MacNeil, Candy The prevention and treatment of eating disorders; body image; self-esteem; and related topics negotiable (519) 760-3031 Notar, Margaret M.A., M.S.W., R.S.W. Anything related to Eating Disorders; Body Image: Adolescent Development (especially females), Self-Esteem Issues negotiable (519) 749-4300, ext. 2368 Eating Disorders Awareness Coalition See www.edacwr.com for youth prevention & wellness presentations. Free (519) 745-4875 Tailored community workshops also available. $200 Library Resources: Check the following libraries for books and videos related to Eating Disorders and Body Image: Kitchener Public Library Main Branch: 85 Queen North, Kitchener Telephone: 743-0271 Website: www.kpl.org Waterloo Public Library Main Branch: 35 Albert Street, Waterloo Telephone: 886-1310 Website: www.wpl.ca Cambridge Libraries & Galleries Queen’s Square Branch, 1 North Square, Cambridge Telephone: 621-0460 Website: www.library.cambridge.on.ca The Coalition also has a free lending library, courtesy of the Kitchener-Conestoga Rotary Club. Page 8 of 10 APPENDIX 1 APPENDIX 2 Physical, Emotional and Behavioural Signs That a Person is Developing or Has an Eating Disorder Thinning of hair; hair loss; yellowish skin Always feels cold Sore throat; dental problems; swollen facial glands Scarring/abrasions of hands/knuckles Irregular menstruation or loss of periods Excessive concern about weight, shape, food and calories Unrealistic perception of body shape and size Intense fear of weight gain; feels fat when not “overweight” Compulsive dieting; strict avoidance of certain foods, skipping meals Unusual eating habits; rearranges food on a plate; cuts food into tiny pieces; hoards food; guilt or shame about eating; refuses to eat meals with anyone; eats large amounts of food at a time Goes to the bathroom right after eating Noticeable weight loss or weight fluctuation Compulsive exercising Wears baggy or layered clothing to conceal weight loss Denies there is a problem Depression; irritability; anxiety; moodiness Perfectionist tendencies Poor concentration; impaired judgment, indecisiveness Social withdrawal Adapted from resources produced by the National Eating Disorder Information Centre and Sheena’s Place. Page 9 of 10 The Dangers of Eating Disorders The physical appearance of anyone with an eating disorder does NOT indicate the amount of physical danger they are in. Below are just some of the dangers of eating disorders. For more detailed information refer to the Physical Dangers section on the www.something~fishy.org website. Death caused by any one or a combination of heart attack, heart failure, lung collapse, internal bleeding, stroke, kidney failure, liver failure, pancreatitis, gastric rupture, perforated ulcer, depression or suicide. Seizures Malnutrition and/or Dehydration Infertility – inability to have children Lanugo – soft downy hair on face, back & arms Muscle Atrophy and/or Edema (swelling of soft tissues) Impaired Neuromuscular Function Transient (or temporary) Paralysis Tearing of Esophagus Cancer of the throat, voice box or esophagus Chronic Fatigue Syndrome or Insomnia Dry Skin and Hair, Brittle hair & nails, Hair loss High Blood Pressure, Hypertension Diabetes Problems during pregnancy including miscarriage Erosion of tooth enamel, severe decay, gum disease Arthritis or Osteoporosis DO NOT fall into the trap of thinking “I don’t do this all the time so I can’t be at risk”—That DOES NOT mean you are not in danger, nor does it mean you do not suffer from an eating disorder. Adapted from something~fishy.org